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DR. ROBERT HAROLD PAVALOCK DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1013196385

Individual Registrant:
DR. ROBERT HAROLD PAVALOCK DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
138 MAIN ST  TERRYVILLE, CT 06786 US
Tel: 860-582-3176  Fax: 860-584-1917

Contact information for business:
138 MAIN ST  TERRYVILLE, CT 06786 US
Tel: 860-582-3176  Fax: 860-584-1917

Registration Information:
NPI: 1013196385
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT4907

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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